Provider Demographics
NPI:1134160997
Name:ANDERSON CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:ANDERSON CHIROPRACTIC PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:G
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-259-9922
Mailing Address - Street 1:902 CRYSTAL FALLS PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-1066
Mailing Address - Country:US
Mailing Address - Phone:512-259-9922
Mailing Address - Fax:512-259-9923
Practice Address - Street 1:902 CRYSTAL FALLS PKWY STE B
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-1066
Practice Address - Country:US
Practice Address - Phone:512-259-9922
Practice Address - Fax:512-259-9923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12475111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty